JCPSP Special Supplement of Case Reports :

March 2018, Vol :28, No.03

CASE REPORT :

Abdominal Supernumerary Testis Complicated By Yolk Sac Tumor
Safdar Shah, Muhammad Danial Ali Shah, Abeer Fatima, Fawad Nasrullah, Wajid Ali, Irfan Ahmed Gorya,
We describe a case of a 26-year man with complaints of suprapubic pain and burning micturition for two weeks and intermittent hematuria for two months. On physical examination, there was palpable mobile pelvic mass measuring 10x10 cm. Both testes were pal ...
Life-threatening Hypokalemic Quadriplegia In A Postoperative Patient
Manoj Kamal, Geeta Singariya, Om Prakash Suthar, Ashwini S,
Acute hypokalemic paralysis is a reversible but potentially lethal clinical condition. We report a case, who developed rapidonset quadriparesis in immediate postoperative period after undergoing right percutaneous nephrolithotomy for bilateral renal stone ...
Complete Heart Block Due To Occlusion Of Jailed Septal Perforator After Percutaneous Coronay Intervention Of Proximal Left Anterior Descending Artery
Ghazanfar Ali Shah, Jawaid Akbar Sial, Tahir Saghir,
A 70-year diabetic and hypertensive lady admitted with acute coronary syndrome (ACS) underwent coronary angiography, which showed severe diffuse disease of proximal left anterior descending (LAD). She underwent percutaneous coronay intervention (PCI) of p ...
Treatment Of A Rare Vascular Complication Of Coronary Stenting In An Octagenarian
Hunaina Shahab, Bilal Hussain, Nasir Rahman, Fateh Ali Tipoo Sultan,
The ability of drug-eluting stent (DES) to inhibit intimal proliferation has resulted in a massive increase in their usage over the years. However, it is known that the application of DES can alter the normal cascade of vascular healing, resulting in dela ...
Use Of Tap Technique In Percutaneous Coronary Intervention, For Stenting Critical Osteal Disease In An Old Patient With Compromised Left Ventricular Function
Uzma Zahid, Asad Islam,
With recent advancements in techniques and technologies in the field of interventional cardiology, Percutaneous Coronary Intervention (PCI) is preferred over Coronary Artery Bypass Grafting (CABG), provided patient selection is kept in mind, and all the t ...
Swirl Sign - A C T Angiogram Alarm Sign Or Congenital Trans-mesenteric Hernias
Ahmad Uzair Qureshi, Maliha Fansur, Sidra Shoaib Qureshi,
Congenital trans-mesenteric hernias (CTMHs) are caused by rent in the mesentry of bowel. The lesions commonly present in pediatric age group. Adult CTMHs usually present with complication of the problem. The diagnosis is often late and is associated with ...
Tuberous Sclerosis Complex With Gingival Enlargement In An Adolescent
Sonia Nath, Jayant Prakash, Narendra Nath Singh, Virendra Kumar Prajapati,
Tuberous sclerosis complex (TSC) is an autosomal dominant, multisystem genetic disorder. It is characterised by formation of benign hamartomas, neurofibromas, and angiofibromas located in different organs. We describe a case of a 13-year boy who complaine ...
Kissing Nevus Of The Penis
Shan Jiang, Yan Chen, Taylor E. Hinchliffe, Tianfu Wu, Tyring Stephen,
Kissing nevus is a very rare congenital melanocytic nevus. Here, we describe one case of kissing nevus on the penis. A 15-year boy presented with asymptomatic black to dark brown color patches on his penis. Histopathological findings showed that there wer ...
Pseudohypoaldosteronism Type Ii: A Young Girl Presented With Hypertension, Hyperkalemia And Metabolic Acidosis
Gul Hassan Sethar, Aisha Almoghawi, Nargis Khan, Wehad Altourah, Najat Mohammed Ashour,
Pseudohypoaldosteronism (PHA) type II is an extremely rare disorder which presents with hypertension, hyperkalemia, and normal anion gap metabolic acidosis. PHA II is also known as familial hyperkalemic hypertension, Gordon syndrome, and chloride shunt sy ...
Acute Onset Of Quadriplegia Secondary To Hypoparathyroidism: Mimicker Of Aman Variant Of Gbs
Syeda Saba Zaidi, Tahira Siddiqui, Sarwar Jamil Siddiqui,
Acute onset of quadriplegia is a rare phenomenon seen with hypocalcemia due to hypoparathyroidism. We describe a 33-year gentleman who presented with weakness of all four limbs and areflexia. ECG showed QT abnormality. Nerve conduction study revealed norm ...
A Gastric Duplication Cyst Initially Mimicking Staghorn Calculus
Ahmad Awan, Fasil Tiruneh, Hasan Iftikhar, Gbeminyi Samuel, Ahmed Awan,
Gastric duplication cyst is an uncommon anomaly typically found in the greater curvature of the stomach. It is usually diagnosed in children and quite difficult to diagnose in adult because of variable presentation. We present a 76-year woman who was admi ...
Managing A Large-size Adrenal Cyst By Hand-assisted Laparoscopic Surgery In A Young Male
Aisha Hasan, Nadeem Iqbal, Muhammad Athar Khawaja, Arzu Yousuf, Afifa Masood, Yashfeen Malik,
Adrenal cysts are not common and are most often non-functional and asymptomatic. Most of these cysts are found incidentally. These lesions exhibit a broad histomorphologic spectrum and may vary from benign cysts to malignant cystic neoplasms. Our patient ...
Occult Pneumothorax: What Do We Need To Do?
Huma Sabir Khan, Abdul Wadood, Mahmood Ayyaz,
Occult pneumothorax is a condition in which a patient's clinical examination and chest radiograph are normal; but there is pneumothorax on computed tomography (CT) scan. We here describe two cases of trauma whose initial survey and chest X-ray showed ...
Uterine Arteriovenous Malformations After Suction Evacuation Of Missed Miscarriage
Arshia Javed, Reeta Chander, Zahra Hoodbhoy,
Uterine arteriovenous malformation (AVM) is an uncommon but life-threating source of bleeding. AVM is an abnormal connection between uterine arteries and veins. Patients typically present with vaginal bleeding following miscarriage (medical/surgical) or c ...
Fatal Elizabethkingia Meningosepticacholangitis Following Biliary Stent Placement
Khalid Ahmed, Syeda Atia Qudsia, Abdul Rehman, Syed Hani Abidi,
Elizabethkingia (E.) meningosepticais a ubiquitous gram-negative bacillus belonging to the genus Chryseobacteriumand has been reported to cause nosocomial infections in both the immunocompromised and immunocompetent patients. E. meningoseptica can coloniz ...
A Young Boy With Persistent Nodules And Hoarseness: A Rare Presentation Of Nodular Secondary Syphilis
Rabia Ghafoor, Muhammad Irfan Anwar,
Syphilis is a venereal disease caused by treponema pallidum, historically known as "great mimicker" because of its variable presentations. Secondary syphilis usually presents with maculopapular or papulosquamous rash. Rare manifestations include ...
Endobronchial Tuberculosis Simulating Carcinoid Tumor
Waseem Hajjar, Iftikhar Ahmed, Samiha Aljetaily, Tarfah Al-Obaidan, Adnan W. Hajjar,
Diagnosing endobronchial tuberculosis (EBTB) can be difficult due to the lack of specific signs and symptoms that differentiate it from other respiratory diseases, such as lung tumors. We hereby report a case of a very rare presentation of tuberculosis (T ...
Epigastric Heteropagus Conjoined Twins
Arshad Khushdil, Hafsa Niaz, Zeeshan Ahmed,
Heteropagus twins are an extremely rare form of asymmetrical conjoined monochorial, monoamniotic twins with an estimated incidence of less than one per one million live births. An often used synonym is parasitic twins. We report a very rare case of epigas ...
Ellis-van Creveld Syndrome In A Neonate
Sughra Wahid, Saqib Aslam, Sadaf Minhas,
Ellis-van Creveld syndrome is a rare form of skeletal and chondroectodermal dysplasia which affects all the three ectodermal, mesodermal, and endodermal derivatives. It has an autosomal recessive inheritance. This is caused by mutations in 1 of 2 genes, E ...
Melas: A Complex And Challenging Diagnosis
Kumail Khandwala, Anwar Ahmed, Taha Sheikh,
Mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS) is a rare multisystem disorder and is the most common maternally inherited mitochondrial disease. This condition has a special predilection for the nervous system and muscles. ...
A Rare Case: Rupture Of Internal Pudendal And Uterine Artery In A Vaginal Delivery
Novera G. Chughtai, Raheela Mohsin Rizvi,
The management of puerperal hematomas after normal delivery has always been challenging for obstetricians. Vulvar, vulvovaginal, or paravaginal hematomas are common. On the other hand, retroperitoneal hematomas are uncommon and can be life-threatening. Th ...
Hydatid Cyst Of Skeletal Muscle Presenting As Soft Tissue Tumour
Ayesha Mughal, Muhammad Saeed Minhas, Anisuddin Bhatti, Farooq Ahmed Moghul, Muhammad Muzzammil Sangani, Kashif Mehmood Khan, Afaq Alam, Mukesh Kumar, Amna Mughal,
Hydatid disease is helminthic infection caused by tape worm echinococcus granulosis. It commonly involves liver (65-75%) and the lungs (25 to 30%). Involvement of bones and skeletal muscle is very rare, i.e. 3 to 5%. This is the report of a 21-year girl, ...
Caroticocavernous Fistula: Successful Reversal By Endovascular Treatment
Muhammad Mateen Amir, Naveen Abubakar Bugvi,
A 22-year male presented in outpatient department with right sided proptosis and chemosis, after a roadside accident two months back. He was on treatment for orbital cellulitis and taking steroids with antibiotics, both orally and topically. He was also o ...
A Rare Presentation Of Cyclitis Induced Myopia
Umar Ijaz, Asad Habib, Hassan Sajjad Rathore,
Unilateral cyclitis leading to myopia is a rare and clinical relevant entity. In clinical settings, pseudomyopia is generally encountered in the form of accommodative spasm, which is always bilateral. Cyclitis due to inflammation, on the other hand, can c ...
Cold Agglutinins In Peripheral Blood With Atypical Cells With An Owl-eye Appearance In Bone Trephine
Ayesha Majeed Memon, Farheen Karim,
Autoimmune hemolytic anemia (AIHA) is a form of hemolytic anemia in which red cells lysis occurs due to presence of an autoantibody. Association of AIHA is well known with lymphoproliferative disorders, especially with non-Hodgkin's lymphoma. However ...
Botulinum Toxin A And Task-specific Training For Hand Dystonia Due To 5 Year Old Stroke
Tahir Masood, Muhammad Umar,
Focal hand dystonia after stroke, a result of maladaptive plasticity, impairs hand function, affects daily activities, and undermines independence. A 59-year male patient, who had developed focal hand dystonia after suffering from ischemic stroke 5 years ...
Bipolar Affective Disorder In A Patient Of Profound Deafness
Usama Bin Zubair, Humza Mumtaz, Sawera Mansoor,
Profound deafness is a lifelong impairment, leading to the physical disability as well as poor psychological adjustment. We herein present a mental health disorder rarely seen among the patients of profound deafness. A 16-year deaf and dumb girl, previous ...
Primary Renal Epithelioid Angiosarcoma
Muhammad Waqas, Waqas Rahim, Durre Shohab, Muhammad Athar Khawaja, Zafar Ali, Nadira Mamoon,
Primary renal angiosarcoma is a rare tumor. Epithelioid variant of primary renal angiosarcoma is extremely rare and aggressive entity described in literature as a few case reports. It presents as solid looking renal mass as other renal cell carcinomas. Ma ...
Giant Urethral Calculus Without Acute Urinary Retention
Zainal Adwin Zainal Abidin, Firdaus Hayati, Guan Hee Tan, Eng Hong Goh, Jasman Hafidzul, Md Zainuddin Zulkifli,
A 46-year gentleman presented with a left-sided lumbar region pain without fever or dysuria. He denied episodes of acute urinary retention. There was a hard mass at the distal urethra with normal laboratory blood tests. Computed tomography urogram reveale ...